Coronary heart disease gets involved and treats: Should not judge

Coronary heart disease gets involved and treats: Should not judge heroes by quantity
Staff reporter Tan Jia

The introductory song language emforces the management on medical quality to guarantee medical treatment's security, promote the quality requisite measure of medical care. This year, Ministry of Public Health sets about setting-up and completion of medical quality management control system and system, released the management of control centre of medical quality not long ago, had strengthened medical quality and safe idea of medical treatment. From today, this newspaper combine designated coronary heart disease get involved and worry get involved with the intersection of arrhythmia and 3 medical the intersection of quality and control centre visiting on the spot first to Ministry of Public Health, ask experts to understand the intension of quality control.

The statistics show, our country will finish coronary heart disease and get involved and treat 188,000 together in 2008, will rank the first in Asia. This is an encouraging figure. Ministry of Public Health cardiovascular vessel disease ( Coronary heart disease gets involved) Medical quality person in charge, the first hospital heart head of the department of internal medicine Huo Yong in Peking University of control centre stated outright when being interviewed by reporter a few days ago, coronary heart disease of our country must finish changing to treat again more as soon as possible to get involved, while technology popularizes popularizing, emphasize the norm, quality, benefit more patients.

From " ask it more simply " " the quality, quantity are regarded as equally important " to get

Medical science developed one of the most important contribution to get involved and treat and is praised as in the 20th century. Since our country introduced the treatment technology of getting involved of cardiovascular disease in the eighties of last century, updating with getting involved in apparatus, accumulation of experience of the clinical practice of the new apparatus, person who gets involved skill, coronary heart disease gets involved and treats in our country's development speed unprecedentedly, treat the example in recent years and count all the time 20%~30% of the proportions are being increased sharply with every year, reached the highest peaks of 188,000 especially last year. " in full flourish " Fast at evolution,it is become by one of to be solved problems urgently too not to last norm. Huo Yong points out: "The task of top priority is to further emphasize the norm, quality, improve curative effect. "

Huo Yong proposes, should abandon the criterion of judging the hero by operation quantity at first, then advocate quantity, quality to regard as equally important. The control on quality should be realized by setting up routine, effective supervision examination mechanism of regulatory hospital. Yong Huo emphasize the whole country launched formally to begin cardiovascular to get involved, it treats frank newspapers to be system significant to getting involved and treating quality control since July 1 this year especially, this make, get involved, treat in the controlled range in the same way while being every, it is easy to control effective quality.

"In BJ Univ Hospital, makes a coronary heart disease and gets involved and treats each time, there must all be sufficient reasons. " Huo Yong introduces, at first, the strict one is tertiary to make the rounds of the wards the system holds the first pass. Whether the patient really needs to get involved and treat, it is not a certain doctor that can have the final say, but need the resident, attending physician, chief of the office of department to set up successive check. Secondly, it is very important too that the course is controlled. Coronary artery of every will it be afternoon Thursday get involved patient read blocks of meeting, skill person want, recommend, implement the intersection of surgery and condition and surgery of patient treat the state by it to all doctor of ward; Carry on the key discussions of serious complication and even death case in the director makes the rounds of the wards. "These contents, to skill person, the quality that are all the different aspects is controlled. "

From " put more " Get " careful to set free "

One coronary artery calcification have too much uncomfortable patient accept, get involved treatment plant into behind the support consciously while being serious, symptom aching that the chest uncomfortable in chest appears instead, " the old wound has not been added and created newly again " Patient have reach after passing through many different places many places seek medical advice. Similar patient, Huo has met it much bravely. In fact, these are that doctors have not held indication strictly according to the norm, plant carelessly into due to support.

In order to standardize the technological clinical practice of getting involved to make a diagnosis of of cardiovascular vessel, guarantee medical quality and medical security, Ministry of Public Health issued " technological standardard management of getting involved and making a diagnosis of of the cardiovascular vessel " in July of 2007, announce first batch of the intersection of Ministry of Public Health and the intersection of cardiovascular vessel and disease get involved, make a diagnosis list of training base 2008, further strengthen cardiovascular vessel disease and get involved in the standardized training of making a diagnosis. Learned societies such as Chinese Medical Association,etc. organize experts to make the corresponding clinical guide too, offer reference to clinician.

Huo explains bravely, according to the guide, the minor patient of angina pectoris and symptom of stability generally only needs drug therapy, only the serious cardiac muscle of large area happens considers getting involved and treating when being ischemic. The clinical symptom before some patient skills is minor, but doctors have not considered drug therapy according to shining on the bed guide norm at first, but the support is put once seeing narrowly. If the support expands to lead to the fact tearing or other complications happen in the blood vessel, then the patient's angina pectoris will be aggravated instead.

In fact, it is not the minority to similar to failing to hold indication, nonspecific involvement treatment strictly like this. According to standardizing the handling requirement, the acute heart stem gets involved to treat and only need to dredge the blood vessel obstructing. But a doctor likes " Cast net big " ,Put on the support if see there are narrow places, patient's condition was aggravated instead finally, even present the death. Narrow section of patient's coronary artery is relatively long, need to put a long support, in order to cover all pathological change section, but the hospital happens without necessary support of surgery, the doctor plants into several short supports. This " makes changes according to specific conditions " Its act may bury the seed of trouble at this point. When the acute heart stem raising section ST gets involved and treats, propose clearly in " norm " there must be fighting device instead of the sacculus in aortas in the hospital, regard preparing against the heart if necessary as and carry on the blood of auxiliary pump. But there is not this apparatus in a lot of hospitals, it is helpless and without resources once the situation happens suddenly, difficult to reply.

Huo Yong says, these bloody lessons are all warning and must adhere to principles to treat to get involved constantly, the doctor must hold indication accurately, prepare before carrying on the strict skill according to the standard, the operation course goes on according to the operation regulation strictly. Also need essential enclosing the operation procedure to support at the same time, otherwise will cause the unexpected serious consequence. Also need to make complication and dealing with the prediction scheme, prepare essential surgery support.

According to " norm ", medical organization and doctor should accept regularly cardiovascular vessel disease gets involved and makes a diagnosis the ability of technological clinical practice is appraised, including the case is chosen, the quality of surviving the situation, postoperative patient management, patient happens, follow up a case by regular visits to situation and case history quality etc. in success rate of operation, serious complication, death case, malpractice.

It was sound and upgrading that Huo Yong still proposed, academy is organized and should actively promote guide and common understanding of making a diagnosis, strengthen the propaganda strength to the clinical guide suitable for the China's actual conditions, and establish the system of feasible appraisal, help clinicians to get involved and treat according to the norm better.

From " repair the roads " Get and " maintain a road "

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Huo Yong says, coronary artery gets involved and treats to for example build the highway section of an open blockade, " the doctor has built up the way, if does not safeguard, the way will be stifled again soon " . He proposes, the doctor should strengthen to the attention of prevention of coronary heart disease second, after getting involved and treating, also need to instruct, improve many ways of patient,etc. through the science to the patient, help the patient " Raise the way " ,Otherwise even better technology can't solve the problem either.



Coronary heart disease gets involved and treats: Should not judge heroes by quantity